Biomarkers · Hematology
Platelet Count
Both low and high values go with higher risk of death. In NHANES 1999–2018 with linked mortality to 2019, each standard deviation above average goes with 1% lower risk of death. Risk rises at both ends: not comparable
Platelet Count and risk of death
Published curve higher than the NHANES fitNHANES fit higher
Risk of death relative to each curve's own reference value, so the two curves need not cross 1 at the same point. The dotted vertical line marks the NHANES median.
Platelet Count by age and sex
Each bar runs from the 5th to the 95th percentile, the darker part from the 25th to the 75th, and the tick is the median. Not a reference range or a target.
The percentiles as a table
| Sex | Age | 5th | 25th | Median | 75th | 95th | n | Cycle / source |
|---|---|---|---|---|---|---|---|---|
| All | 20-39 | 172 | 214 | 247 | 289 | 371 | 1,457 | NHANES 2017-2018 |
| All | 40-59 | 154 | 203 | 237 | 286 | 352 | 1,584 | NHANES 2017-2018 |
| All | 60+ | 145 | 190 | 225 | 263 | 336 | 1,940 | NHANES 2017-2018 |
| All | all | 155 | 202 | 237 | 281 | 352 | 4,981 | NHANES 2017-2018 |
| Men | 20-39 | 167 | 205 | 230 | 266 | 335 | 698 | NHANES 2017-2018 |
| Men | 40-59 | 151 | 195 | 224 | 255 | 327 | 740 | NHANES 2017-2018 |
| Men | 60+ | 134 | 179 | 210 | 251 | 316 | 981 | NHANES 2017-2018 |
| Men | all | 150 | 192 | 223 | 258 | 328 | 2,419 | NHANES 2017-2018 |
| Women | 20-39 | 179 | 226 | 260 | 308 | 385 | 759 | NHANES 2017-2018 |
| Women | 40-59 | 155 | 220 | 262 | 307 | 382 | 844 | NHANES 2017-2018 |
| Women | 60+ | 160 | 202 | 235 | 275 | 336 | 959 | NHANES 2017-2018 |
| Women | all | 164 | 217 | 253 | 301 | 377 | 2,562 | NHANES 2017-2018 |
What studies found when this marker was changed
They describe what happened in those study groups, not a recommendation. See all catalogued interventions.
Measured changes in Platelet Count, study by study
1 effect with a numeric size, each from one study arm: the dot is the reported change, the line its 95% interval where one was given. Study results in the groups studied, not predictions for a person.
| Type | Intervention | Reported effect | Evidence | Source |
|---|---|---|---|---|
| pharmacologic | Thrombopoietin receptor agonist (Eltrombopag 50 mg) in chronic immune thrombocytopenia | 79% on eltrombopag vs 28% on placebo achieved platelet count 50,000-400,000 per μL at least once over 6 months | RCT | Cheng G, et al. Eltrombopag for management of chronic immune thrombocytopenia… |
| pharmacologic | Thrombopoietin receptor agonist therapy in cancer patients with chemotherapy-induced thrombocytopenia (meta-analysis of 7 studies, 348 patients) | Platelet count increased by a combined 69.52 ± 2.24 (thousand per uL); romiplostim subgroup about 70.11 ± 39.07, non-romiplostim TPO-RAs about 68.09 ± 82.58 | meta-analysis | Gurumurthy G, et al. Journal of oncology pharmacy practice : official… |
Things that worsen it
| Type | Condition or exposure | Reported effect | Evidence | Source |
|---|---|---|---|---|
| clinical | Essential thrombocythemia (JAK2 / CALR mutations) | Platelet count persistently ≥450 thousand/µL; JAK2 (64%) and CALR (23%) variants drive excess platelet production | review | Tefferi A, et al. Essential Thrombocythemia: A Review. JAMA. 2025;333:701-714. |
What else moves this marker
They describe those study groups, not an individual, and an association is not a cause.
Diseases and conditions
| What | Effect on the marker | Comparison · population | Source |
|---|---|---|---|
| ↓ Chronic mountain sickness · chronic mountain sickness vs healthy high-altitude residents | SMD -1.82 (95% CI -2.74 to -0.91) | chronic mountain sickness group vs healthy altitude-matched controls · Patients with chronic mountain sickness and healthy high-altitude controls (subgroup of 32-study meta-analysis) | meta analysis · PMID 35196458 |
| ↑ Stable chronic obstructive pulmonary disease · stable COPD patients vs non-COPD controls | +13.39 10^3 cells/uL (95% CI 4.68 to 22.11) | stable COPD patients vs non-COPD subjects · 4455 stable COPD patients and 7128 non-COPD controls (26 studies) | meta analysis · PMID 33929925 |
Environmental and occupational exposures
| What | Effect on the marker | Comparison · population | Source |
|---|---|---|---|
| ↓ Chronic high-altitude hypoxia (>=1 month) · residents chronically exposed to high altitude vs lowland controls | SMD -0.34 (95% CI -0.63 to -0.04) | chronic high-altitude exposure vs control · High-altitude residents and lowland controls (32 studies) | meta analysis · PMID 35196458 |
Sources
- Risk curve: Vinholt 2016 (PMID 27586589): all-cause HR 1.42 (1.06-1.9) platelet count 301-450x10^9/L vs reference 201-250x10^9/L. Scaled to US values (NHANES).
- Vinholt et al. Platelet count is associated with cardiovascular disease, cancer and mortality: A population-based cohort study. Thrombosis research. 2016;148:136-142.
- NHANES curve: our Cox model adjusted for age and sex, NHANES 1999–2018 with linked mortality to 2019.
Map Platelet Count against another biomarker.
Related markers: Absolute Lymphocyte Count · Absolute Neutrophil Count · Basophil Count · Eosinophil Count · Hematocrit · Hemoglobin Concentration · Immature Reticulocyte Fraction · Lymphocyte Percentage